Rhode Island Maternal Health Assessment

1
Rhode Island Maternal Health Assessment

• Mia Patriarca OFlaherty, MA
• Rhode Island Department of Health
• National Summit on Preconception Care
• June 22, 2005

2
Maternal Health Assessment

• Purpose of Maternal Health Assessment
• Methods
• Quantitative
• Qualitative

3
Indicators and Program Data
4
Access to Health Care

• Preventive Care-
• 86 of women ages 18 and older received a pap
  within the past three years (2002 RIBRFSS)
• Health Insurance
• 90 of women ages 18 to 45 have health insurance
  (2003 RIBRFSS)

5
Births By Risk Factor and Risk Status
Source Level 1 Screening Program, Rhode Island
Department of Health, 2002.
6
Teen Pregnancy Rates by Race/EthnicityRhode
Island, 1999-2003
Rate/1,000
Notes Teens aged 15-19 rates calculated using
2000 US Census data 2003 data are provisional
Source Maternal and Child Health Database,
Division of Family Health, RI Dept of Health
7
Premature BirthsRhode Island, 1995-2002
Percent
Source Maternal and Child Health Database,
Division of Family Health, RI Dept of Health
8
Postpartum DepressionRhode Island, 2002-2003
Percent
Source Rhode Island PRAMS, Division of Family
Health, Rhode Island Department of Health
9
Breastfeeding (Ever) by Selected Maternal
Characteristics 2002-2003
Percent
Note ever breastfed or pumped breast milk to
feed baby
Source Rhode Island PRAMS, Division of Family
Health, Rhode Island Department of Health
10
Sources of Payment for Delivery 2002-2003
Source Rhode Island PRAMS, Division of Family
Health, Rhode Island Department of Health
11
Program Data

• Current WIC caseload - 23,500 women and children
• Womens Health Screening and Referral Program -
  4713 Care Questionnaires completed in FY 2004
• Family Planning 20,018 unduplicated clients in
  2004
• Family Outreach Program - 53 (3588) of
  risk-positive newborns received a home visit
  within 90 days (2003)

12
Interviews (on-going)

• Assessment Tool
• Interviews
• Internal Sources
• Community Agencies

13
Crosscutting Themes

• Focus on reproductive lifespan and comprehensive
  services
• Womens and girls mental health
• Recognition of impact on pregnancy outcomes and
  child development
• Earliest identification of risk and referral to
  appropriate services

14
Themes

• Early prevention
• Emphasis on reaching girls and teens with
  prevention messages and interventions
• Targeted interventions for at-risk populations
• Culturally competent approaches to outreach and
  education
• Role of partnerships with professional
  organizations and community agencies

15
Themes

• Strategies to reduce isolation
• Health disparities
• Barriers
• Health education and information
• Care coordination
• Training for providers
• Data